Individual
MRS. SUSAN O SIMONTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
2500 E LAS OLAS BLVD, #1504, FT LAUDERDALE, FL 33301-1508
(954) 527-7829
(305) 558-0570
Mailing address
2500 E LAS OLAS BLVD, #1504, FT LAUDERDALE, FL 33301-1508
(954) 527-7829
(305) 558-0570
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103881
FL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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